Individual provider Active NPI

Cassandra Owens, LCSW

  • Clinical Social Worker
  • Munster, IN
National Provider Identifier
1831374073
Registry record updated Jun 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34006479A Issued in IN
Practice address
9250 Columbia Ave Ste 2E
Munster, IN 46321-3530
Phone
(219) 595-0043
Fax
(219) 237-2894
NPI assigned
Jan 7, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 34006479A IN Primary

Addresses

Primary practice location

9250 Columbia Ave Ste 2E
Munster, IN 46321-3530

Mailing address

9250 Columbia Ave Ste 2E
Munster, IN 46321-3530
Phone (219) 595-0043

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120423000176 IN Practitioner - Clinical Social Worker 2860653607 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nwi Clarity ClinicGroup PAC ID 5991082976, 32 clinicians

Practice addresses (Care Compare)

9250 Columbia Ave
Suite 2E
Munster, IN 46321-3530
Phone (219) 595-0043

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nwi Clarity Clinic Clinical CurrentSince May 17, 2021 Accepting new patients
Valley Oaks Health Inc CurrentSince Jun 8, 2019 Accepting new patients
Community Healthnet Inc CurrentSince Feb 2, 2021 Accepting new patients
Community Healthnet Inc CurrentSince Feb 2, 2021 Accepting new patients
Valley Oaks Health Inc CurrentSince Jun 8, 2019 Accepting new patients

Locations

1021 W 5th Ave
Gary, IN 46402

415 N 26th St
Lafayette, IN 47904
Phone (765) 446-6400

610 Main St
Lafayette, IN 47901
Phone (765) 423-2638

415 N 26th St
Ste 201
Lafayette, IN 47904
Phone (765) 446-6535

9250 Columbia Ave
Ste 2E
Munster, IN 46321
Phone (219) 595-0043

Interoperability endpoints

  • Direct secure messaging: ccin.cassandra.owens@138327.advancedmd-direct.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622678400000",
    "number": "1831374073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9250 COLUMBIA AVE STE 2E",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463213530",
            "telephone_number": "219-595-0043",
            "fax_number": "219-237-2894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9250 COLUMBIA AVE STE 2E",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463213530",
            "telephone_number": "219-595-0043",
            "fax_number": "219-237-2894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS",
        "first_name": "CASSANDRA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-07",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34006479A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Munster, IN

Sources for this page

Verify at the official NPI Registry.